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461-0500 11 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />WAIVER OF TRANSFER OF RIGHTS OF RECOVERY <br />AGAINST OTHERS TO US (WAIVER OF SUBROGATION) <br />This endorsement modifies insurance provided under the following: <br />BUSINESS AUTO COVERAGE FORM <br />BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM <br />GARAGE COVERAGE FORM <br />MOTOR CARRIER COVERAGE FORM <br />TRUCKERS COVERAGE FORM <br />With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless <br />modified by the endorsement. <br />This endorsement changes the policy effective on the inception date of the policy unless another date is indicated <br />below. <br />Named Insured: NBS GOVERNMENT FINANCE GROUP <br />Endorsement Effective Date: 09/24/2023 <br />SCHEDULE <br />Name(s) Of Person(s) Or Organization(s): <br />ANY PERSON OR ORGANIZATION WHEN REQUIRED BY A WRITTEN CONTRACT <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations <br />The Transfer Of Rights Of Recovery Against Others To Us Condition does not apply to the person(s) or <br />organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or <br />the "loss" under a contract with that person or organization. <br />Page 1 of 1 <br />Policy #AH3A42745812DocuSign Envelope ID: C10679F1-1CB4-4972-85FA-7681F5B2296F